Provider Demographics
NPI:1215814488
Name:NORUK, HANNAH SARAH
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:SARAH
Last Name:NORUK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:SARAH
Other - Last Name:DESTEFANIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2290 E HILL RD STE 107
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-5421
Mailing Address - Country:US
Mailing Address - Phone:810-373-5242
Mailing Address - Fax:
Practice Address - Street 1:2290 E HILL RD STE 107
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-5421
Practice Address - Country:US
Practice Address - Phone:810-373-5242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511183201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical